• Neurosurgery · Jan 2005

    Case Reports

    Endoscopic aqueductal stenting via the fourth ventricle under navigating system guidance: technical note.

    • Hideo Hamada, Nakamasa Hayashi, Masanori Kurimoto, and Shunro Endo.
    • Department of Neurosurgery, Toyama Medical and Pharmaceutical University, 2630 Sugitani, Toyama, Japan. hideo@ms.toyama-mpu.ac.jp
    • Neurosurgery. 2005 Jan 1; 56 (1 Suppl): E206; discussion E206.

    ObjectiveWe report three patients with symptomatic isolated fourth ventricle after ventriculoperitoneal shunt placement for hydrocephalus associated with ventricular hemorrhage. All three patients were treated successfully with our new method of endoscopic aqueductal stenting under navigating system guidance.MethodsA therapeutic rigid endoscope was inserted through the thin cerebellar hemisphere, and endoscopic aqueductal stenting was performed via the enlarged fourth ventricle under navigating system guidance.ResultsAll three patients underwent successful procedures with good outcomes.ConclusionOur method of aqueductal stenting is a reasonable choice for initial treatment of patients with isolated fourth ventricle, and it entails less invasive neurosurgery.

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